Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L26/00—Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form
  • A61L26/0061—Use of materials characterised by their function or physical properties
  • A61L26/008—Hydrogels or hydrocolloids
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L15/00—Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
  • A61L15/16—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
  • A61L15/22—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons containing macromolecular materials
  • A61L15/28—Polysaccharides or their derivatives
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L15/00—Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
  • A61L15/16—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
  • A61L15/42—Use of materials characterised by their function or physical properties
  • A61L15/60—Liquid-swellable gel-forming materials, e.g. super-absorbents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L26/00—Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form
  • A61L26/0009—Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form containing macromolecular materials
  • A61L26/0023—Polysaccharides

Definitions

• the present invention relates to dehydrated hydrogels which are useful in the treatment of wounds.
• a hydrogel is a cross-linked macromolecular network swollen with water or biological fluids.
• a dehydrated hydrogel is a cross-linked macro-molecular network that will swell to form a hydrogel upon contact with water or biological fluids. Due to their 'dehydrated' condition, dehydrated hydrogels are easy to store and transport. In addition, when applied in the dry state to a wound they behave as superabsorbent materials.
• a method of producing a dehydrated hydrogel comprising dispersing fibres into an aqueous solution of a hydrogel precursor material incorporating a plasticiser, the fibres incorporating cations which are capable of cross-linking said precursor material to form a hydrogel, and freeze drying the mixture thus produced to provide a dehydrated hydrogel which incorporates said fibres, the dehydrated hydrogel being cross-linked by said cations.
• water is evaporated from the admixture of hydrogel precursor material, fibres and plasticiser by a freeze drying procedure.
• a freeze drying procedure may be employed.
• the admixture may be frozen below -10°C to form a solid product (e.g. a sheet) in which the hydrogel precursor is embedded in ice.
• the frozen mixture may then be subjected to a high vacuum so as to allow conversion of water from solid ice to water vapour (without passing through an intermediate liquid phase).
• the freeze drying procedure may be carried out using an Edwards freeze drying machine.
• the delicate pore structure of the frozen mixture is preserved and the final product (dehydrated hydrogel) is porous and highly absorbent.
• the dehydrated hydrogel produced by the method of the invention may be in the form of a film having a thickness of, for example, 20 microns to 10mm.
• the dehydrated hydrogels produced by the method of the invention have a number of advantages.
• the presence of the fibres imparts strength and dimensional stability to the dehydrated hydrogel.
• films of the dehydrated hydrogels have the property of swelling in only the thickness dimensions and not in the other two dimensions (as compared to films of conventional dehydrated hydrogels which swell in all three dimensions).
• the dehydrated hydrogels will comprise (based on the total weight of the fibres, polymer forming the hydrogel, and plasticiser, i.e. excluding water and other components) 15 to 40% by weight of fibres, 10 to 35%, and 5 to 75% plasticiser. More preferably the fibres and polymer together provide about 40-60% ideally about 50% by weight on the same weight basis so that correspondingly the plasticiser provides 60- 40%, ideally about 50%. Generally the amount of fibres will exceed the amount of polymer. For example the weight ratio may be 1.5-3: 1. Typically the dehydrated hydrogel will contain less than 50% by weight of water, ideally less than 20%, based on the total weight of the dehydrated hydrogel.
• hydrogel precursor material examples include sodium alginate, sodium carboxymethyl cellulose, sodium pectinate, sodium O-carboxymethyl chitosan (OCC), sodium N,O-carboxymethyl chitosan (NOCC), sodium polyacrylate, and naturally occurring gums and synthetic polymers containing pendant carboxylic acid groups (hummectants).
• the hydrogel precursor may consist wholly or partially of Ace Mannan (or other component of Alloe Vera) which is a natural polymer known to accelerate healing of wounds.
• the Ace Mannan may, for example, provide up to 80% of the matrix.
• the Ace Mannan may be clinical grade material obtainable from Carrington Laboratories, Dallas, Texas, U.S.A.
• the fibres which are used contain a di- or higher valent cation which is effective for cross-linking the hydrogel. Examples of suitable cations include Ca 2 ⁇ Zn 2+ , and cations which also act as enzyme cofactors.
• Particular preferred examples of fibres which may be used are calcium alginate fibres.
• the fibres will generally have a length of 1 to 80 mm and a thickness of 10 to 50 microns.
• the fibres may be such that they absorb water from the aqueous solution of the hydrogel precursor material during manufacture of the dehydrated hydrogel.
• plasticisers examples include glycerol, polyethylene glycol, sorbitol and similar sugars, and pluronic type PEO/PPO polymers.
• the fibres, polymer and plasticiser in their relative requisite amounts are admixed with water such that the fibres, polymer and plasticiser together provide less than 5% by weight (e.g. less than 3%, e.g. 2%) of the resultant mixture.
• the dispersion may be cast to an appropriate thickness and freeze dried to give a dehydrated hydrogel product containing less than 50% water, more usually 20% or less.
• Dehydrated hydrogels have a number of advantages, ln particular when applied to the wounds (e.g. donor sites, abrasions, dermabrasions, surface wounds with high exudate or wide savings in exudate levels) they are capable of absorbing large amounts of exudate, e.g. up to 30 times their own weight, thereby rehydrating to form a hydrogel. If the dehydrated hydrogel is in the form of a film, it is found that the film swells in the thickness dimension without substantial swelling in the other two dimensions. Upon sufficient absorption of exudate, the film is capable of dissolving.
• the product of the invention is more absorbent than current commercial hydrogels, and is also light and easy to package.
• Dehydrated hydrogels produced in accordance with the method of this invention may be laminated to hydrophilic films which have an increased breathability in the presence of liquid water as compared to moisture vapour alone.
• the use of such a film over the dehydrated hydrogel i.e. on the side remote from the wound) ensures that water is vented from the dehydrated hydrogel through the film. Therefore the dissolution of the hydrogel may be controlled.
• the breathable film will be of a material which, as a 50 micron film, has an MVTR in the presence of moisture vapour alone of 6,000 to 10,000 g m '2 24hr " ' as measured by ASTM E96B and an MVTR in the presence of liquid water (as measured by ASTM E96BW) of 6,000 to 10,000 g m "2 24hr " '.
• the breathable film will have a thickness of 30-70 microns, more preferably 40-60 microns, e.g about 50 microns.
• the breathable film may for example be of polyurethane. Suitable films are available from Alternative Teclinologies Limited under the designations IT325, IT425 and IT625.
• the dehydrated hydrogel may incorporate an active agent (e.g. an antimicrobial material) for delivery to a wound,
• an active agent e.g. an antimicrobial material
• the resultant product was a dehydrated hydrogel capable of absorbing at least 20 grams of normal saline for a 10cm x 10cm pad.
• MF1-21B fibres calcium/sodium alginate fibres available from Innovative Technologies
• the fibres were mixed with 3 g of sodium alginate powder (Protonol LF 10/60, ex Pronova), 6 g of glycerol and 1000 ml of water.
• the mixture was then placed into a stainless steel dish (23cm x 23cm) to form a gel pre-cursor solution.
• the solution was then placed in a freezer (T ⁇ - 10°C) so that the gel pre-cursor frozen to form a solid ice.
• the dish was men taken immediately to a freeze drying machine (Edwards) to prepare the freeze dried pad and dried over a period of about 20 hours.
• the resultant product was a dehydrated hydrogel capable of absorbing at least 20 grams of normal saline for a 10cm x 10cm pad.

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• Health & Medical Sciences (AREA)
• Chemical & Material Sciences (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Engineering & Computer Science (AREA)
• Epidemiology (AREA)
• Life Sciences & Earth Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• Veterinary Medicine (AREA)
• Materials Engineering (AREA)
• Dispersion Chemistry (AREA)
• Hematology (AREA)
• Materials For Medical Uses (AREA)
• Compositions Of Macromolecular Compounds (AREA)
• Colloid Chemistry (AREA)
• Processes Of Treating Macromolecular Substances (AREA)

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• 1996
  • 1996-04-20 GB GBGB9608222.7A patent/GB9608222D0/en active Pending
• 1997
  • 1997-04-21 US US09/171,302 patent/US6203845B1/en not_active Expired - Fee Related
  • 1997-04-21 WO PCT/GB1997/001098 patent/WO1997039781A1/en active IP Right Grant
  • 1997-04-21 EP EP97919508A patent/EP1021215B1/en not_active Expired - Lifetime
  • 1997-04-21 ES ES97919508T patent/ES2180043T3/es not_active Expired - Lifetime
  • 1997-04-21 JP JP09537835A patent/JP2000510360A/ja active Pending
  • 1997-04-21 AU AU23951/97A patent/AU2395197A/en not_active Abandoned
  • 1997-04-21 DE DE69713912T patent/DE69713912T2/de not_active Expired - Fee Related

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